Effects of pushing techniques during the second stage of labor: A randomized controlled trial

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dc.contributor.authorKoyucu, Refika Genc
dc.contributor.authorDemirci, Nurdan
dc.date.accessioned2024-03-13T10:35:10Z
dc.date.available2024-03-13T10:35:10Z
dc.date.issued2017
dc.departmentİstanbul Beykent Üniversitesien_US
dc.description.abstractObjective: Spontaneous pushing is a method that is used in the management of the second stage of labor and suggested to be more physiological for the mother and infant. The present study aims to evaluate the effects of pushing techniques on the mother and newborn. Materials and methods: This randomized prospective study was performed between June 2013 March 2014 in a tertiary maternity clinic in Istanbul. 80 low risk, nulliparous cases were randomized to pushing groups. Valsalva pushing group was told to hold their breath while pushing. No visual-verbal instructions were given to spontaneous pushing group and they were encouraged to push without preventing respiration. Demographic data, second stage period, perineal laceration rates, fetal heart rate patterns, presence of meconium stained amniotic liquid, newborn APGAR scores, POP-Q examination and Q-tip test results were evaluated in these cases. Results: The second stage of labor was significantly longer with spontaneous pushing. Decrease in Hb levels in valsalva pushing group was determined to be higher than spontaneous pushing group. An increased urethral mobility was observed in valsalva pushing group. Conclusions: Although the duration of the second stage of labor was longer compared to valsalva pushing technique, women were able to give birth without requiring any verbal or visual instruction, without exceeding the limit value of two hours and without affecting fetal wellness and neonatal results. (C) 2017 Taiwan Association of Obstetrics & Gynecology. Publishing services by Elsevier B.V.en_US
dc.identifier.doi10.1016/j.tjog.2017.02.005
dc.identifier.endpage612en_US
dc.identifier.issn1028-4559
dc.identifier.issue5en_US
dc.identifier.pmid29037544en_US
dc.identifier.scopus2-s2.0-85030453594en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage606en_US
dc.identifier.urihttps://doi.org/10.1016/j.tjog.2017.02.005
dc.identifier.urihttps://hdl.handle.net/20.500.12662/4285
dc.identifier.volume56en_US
dc.identifier.wosWOS:000418316300006en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherElsevier Taiwanen_US
dc.relation.ispartofTaiwanese Journal Of Obstetrics & Gynecologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectSecond stage of laboren_US
dc.subjectSpontaneous pushingen_US
dc.subjectValsalvaen_US
dc.subjectPushing methodsen_US
dc.subjectPelvic organ prolapseen_US
dc.titleEffects of pushing techniques during the second stage of labor: A randomized controlled trialen_US
dc.typeArticleen_US

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